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General NPI Number Information
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NPI Number | 1861060204
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Entity Type | Individual
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Provider Name | RACHEL ANN MANN LMBT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2021
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Last Update Date | 06/13/2021
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Provider Practice Location Address
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Address Line | 1125 KILDAIRE FARM RD STE 202
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City | CARY
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State | NC
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Zip | 27511-4566
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Country | US
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Telephone | 910-520-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 938 TENDER DR
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City | APEX
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State | NC
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Zip | 27502-2406
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Country | US
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Telephone | 910-520-2238
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 1069
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License Number State | NC
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